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How Does Prostate Cancer Treatment Affect Gay and Bisexual Men?

Receptive partners may need to change their role as well. Sometimes, radiation treatment affects the anus, leading to pain for bottom anal sex partners. In addition, receptive men who enjoy stimulation of the prostate gland during anal sex may find encounters less satisfying if their prostate has been surgically removed.

It’s also possible for men to develop ED and have anal pain at the same time, making both top and bottom roles difficult.

Orgasms and ejaculation can become problematic too, regardless of the type of sex men are having (such as anal sex, oral sex, or mutual masturbation.)

Men might need more time or stimulation to reach orgasm. When they do climax, they might be disappointed if their orgasms are less intense than they were before prostate cancer treatment.

Men who have their prostate gland removed are no longer able to ejaculate. But for many men who have sex with men, ejaculation is an important visual sign of sexual enjoyment. If a man cannot ejaculate, his partner may worry about being attractive or sexually pleasing.

Ejaculatory disorders may also affect couples who wish to have children.

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